| NPI | 1164476214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT S COUSSONS Owner 920-888-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2025-09-04 |